Individual provider Active NPI

Michelle Lynn King, PHARMD

  • Pharmacist
  • Morgantown, WV
National Provider Identifier
1821391731
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP0007083 Issued in WV
Practice address
500 Suncrest Town Centre Dr
Pharmacy Department
Morgantown, WV 26505-1820
Phone
(304) 285-6790
NPI assigned
Dec 15, 2010
Last updated
Dec 15, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP0007083 WV Primary
Pharmacist 183500000X 24232 TN

Addresses

Primary practice location

500 Suncrest Town Centre Dr
Pharmacy Department
Morgantown, WV 26505-1820

Mailing address

500 Suncrest Town Centre Dr
Pharmacy Department
Morgantown, WV 26505-1820
Phone (304) 285-6790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
24232TNMDPharmacist
RP0007083WVMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1821391731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SUNCREST TOWN CENTRE DR",
            "address_2": "PHARMACY DEPARTMENT",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051820",
            "telephone_number": "304-285-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUNCREST TOWN CENTRE DR",
            "address_2": "PHARMACY DEPARTMENT",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051820",
            "telephone_number": "304-285-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0007083",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "24232",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.